Individual
DR. GREGORY D OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
820 GENEVA PKWY N STE 105, LAKE GENEVA, WI 53147-4562
(262) 248-6700
Mailing address
820 GENEVA PKWY N STE 105, LAKE GENEVA, WI 53147-4562
(262) 248-6700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3063
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38881500
—
WI
Enumeration date
01/11/2007
Last updated
05/01/2025
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